	Toll Free HelpLine 1(800) 274-3258
	PHLP is a nationally recognized expert and consultant on access to health care for low-income consumers, the elderly, and persons with disabilities. For more than a decade, PHLP has engaged in direct advocacy on behalf of individual consumers while working on the kinds of health policy changes that promise the most to the Pennsylvanians in greatest need.

Are You Eligible?

Pennsylvania has many programs that offer free or low cost health care coverage. Answer the questions below to find out if you may be eligible.

Disclaimer: This is a screening tool that the PA Health Law Project has designed, based upon the State's eligibility rules, to help you to figure out if you may be eligible for free or low-cost health care coverage. These programs are only available to Pennsylvania residents. It is not an official determination of eligibility nor an application for coverage. Only the agencies that administer the programs can make an official determination of eligibility and process applications.

Click here to start over at the beginning of the eligibility screening.

Question 1
Please use the grey down arrow to the right to scroll down to and then select the answer that best describes you.

Question 2
Select yes for the answer that best describes your situation. Please select only one answer. This will determine the category of eligibility for which this tool will screen you. At any time you may return to this page and check your eligibility under another category. To do this, click here.

Are you pregnant?	Yes:
Do you have a permanent disability?	Yes:
Are you 65 or older?	Yes:
Do you have breast or cervical cancer (or a pre-cancerous condition of the breast or cervix)?	Yes:

If none of the above choices apply to you, click on the continue button in the bottom right corner of the screen to go on to the next page.

Question 3
Select yes for the answer that best describes your situation. Please select only one answer. This will determine the category of eligibility for which this tool will screen you. At any time you may return to this page and check your eligibility under another category. To do this, click here.

Are you/Is applicant under 21 years old?	Yes:
Are you an adult with children under 19 in your household?	Yes:

If none of the above choices apply to you, click on the continue button in the bottom right corner of the screen to go on to the next page.

Question 4
Medical Assistance eligibility can be based on a medical condition or on something that is happening in your life, such as domestic violence. The following questions will help to determine if you are eligible for Medical Assistance due to the existence of one of these conditions.
Select yes for the answer that best describes your situation. Please select only one answer. This will determine the category of eligibility for which this tool will screen you. At any time you may return to this page and check your eligibility under another category. To do this, click here.

Do you have a medical condition that keeps you from being able to work?	Yes:
Do you take medication without which you would be unable to work?	Yes:
Do you have HIV or AIDS?	Yes:
Do you care for an unrelated child in your home who is under 13 or for an adult in your home who is disabled?	Yes:
Are you in a drug and/or alcohol treatment program?	Yes:
Are you a victim of domestic violence in protective services?	Yes:

If none of the above choices apply to you, click on the continue button in the bottom right corner of the screen to go on to the next page.

Question 5
Select yes for the answer that best describes your situation. Please select only one answer. This will determine the category of eligibility for which this tool will screen you. At any time you may return to this page and check your eligibility under another category. To do this, click here.

Do you work at least 40 hours per month?	Yes:
Are you between 59-64 years old?	Yes:

If none of the above choices apply to you, click on the continue button in the bottom right corner of the screen to go on to the next page.

Question 1
Are you married and living with your spouse? (If you are separated from and no longer living with your spouse, answer "no" here and do not include his or her income information in the upcoming questions about household income.)
Yes:No:

Question 2
How many kids do you have in your household?

Question 3
What are the ages of your kids? (if less than 12 months old, please enter 0)

Question 4
If your monthly income is less than $------, it is very likely that you are eligible for free health care coverage through Medical Assistance and we encourage you to apply. Click here if you want to apply now on the computer. If your monthly household income is higher than the amount that you see, you might still be eligible for Medical Assistance. To find out if you are, click here.

Question 5
If you receive child support or alimony each month, enter the total monthly amount that you receive here. Please enter 0 if you receive nothing.

Question 6
Enter the amount, if any, that you and other family members in your household receive each month from:

Social Security Benefits (RSDI) (Do not include SSI):
Social Security Disability:
Retirement benefits:
Pension:
Annuities:
Unemployment Compensation:
Workers Compensation:
Veterans Affairs benefits:
Dividends, royalties or interest payments:
Contributions (payments from people other than child support or alimony):
Educational assistance (do not include government loans or grants):
Children's unearned income (such as Survivor's benefits or VA benefits):
Rental income if the rental property is managed by someone else:
Inheritance:
Prizes/awards:

Question 7
Enter the amount that you and other family members in your household receive each month from:

(Do not include the income of a child who is: 1) A full time student; 2) A part-time student working part-time; 3) In the Job Corps; or 4) Not a student, but age 17 or younger and in the JTPA program.)
Income from a job:
Profit from self-employment:
Commissions or bonuses:
Sheltered workshop or work activities center income:
Employee sick benefits (if you plan to return to work):
Earnings from therapeutic activities:
Rental income (unless rental unit managed by someone else. Then count as unearned income.):

Question 8
Enter the amount that you pay each month for child care when you are at work for your:

Please enter 0 for each child if you pay nothing.

Question 9
How many, if any, sick or disabled adults are there in your household that you must pay for to be cared for while you are at work? Please enter 0 for none.

Question 10
Enter the amount that you pay each month to have each sick adult member/s of your household cared for while you are at work:

Question 11

Spend-Down to MA Eligibility
A person who would be eligible for Medical Assistance in a given category but has too much monthly income to meet that category’s requirements, may still be eligible for that category of Medical Assistance for a select period of time if they have Medical Expenses that are due, were paid within the past 3 months, or are ongoing (examples include: a $2000 bill from 2 months ago that has not been paid, a $150 bill that was just paid last week, or monthly prescription drug costs of $275) AND these Medical Expenses, when deducted from the individual’s (or household’s) countable income, would reduce that income enough that the final amount of income is less than the income limit for that category.
Persons with large outstanding bills may qualify for several months of Medical Assistance through Spend-Down. Persons with large enough monthly Medical Expenses may qualify for Medical Assistance each month through Spend-Down. To apply for spend-down, click here. Or, you can apply at your local county assistance office. When you submit your verification, be sure to submit evidence of your Medical Expenses and indicate that if you are not found eligible for ongoing Medical Assistance you are interested in applying for “Spend-Down”.

Question 1
Are one or more of these children related to you and under your care and control?
Yes:No:

Question 2
How many of the children related to you or under your care or control are under 19?

Question 3
What are the ages of the kids? (if less than 12 months old, please enter 0)

Question 4
Are you married and living with your spouse? (If you are separated from and no longer living with your spouse, answer "no" here and do not include his or her income information in the upcoming questions about household income.)
Yes:No:

Question 5
Do you or your spouse have a disability?
Yes:No:

Question 6
Is the person in your household who usually earns the most money presently unemployed?
Yes:No:

Question 7
If your monthly income is less than $------, it is very likely that you are eligible for free health care coverage through Medical Assistance and we encourage you to apply. Click here if you want to apply now on the computer. If your monthly household income is higher the amount that you see, you might still be eligible for Medical Assistance. To find out if you are, click here.

Question 8
If you receive child support or alimony each month, enter the total monthly amount that you receive here. Please enter 0 if you receive nothing.

Question 9
Enter the amount, if any, that you and other family members in your household receive each month from:

Social Security Benefits (RSDI) (Do not include SSI):
Social Security Disability:
Retirement benefits:
Pension:
Annuities:
Unemployment Compensation:
Workers Compensation:
Veterans Affairs benefits:
Dividends, royalties or interest payments:
Contributions (payments from people other than child support or alimony):
Educational assistance (do not include government loans or grants):
Children's unearned income (such as Survivor's benefits or VA benefits):
Rental income if the rental property is managed by someone else:
Inheritance:
Prizes/awards:

Question 10
How many, if any, family members in your household including yourself have any of the following types of income:

(Do not include the income of a child who is: 1) A full time student; 2) A part-time student working part-time; 3) In the Job Corps; or 4) Not a student, but age 17 or younger and in the JTPA program.)
Income from a job:
Profit from self-employment:
Commissions or bonuses:
Sheltered workshop or work activities center income:
Employee sick benefits (if you plan to return to work):
Earnings from therapeutic activities:
Rental income (unless rental unit managed by someone else. Then count as unearned income.):

Question 11
For each person with one of those types of income, please enter his or her name next to the type of income received by that person.

Question 12
Please enter the monthly amount of money (before taxes) that:

Please enter 0 for none.

Question 13
Please enter the total monthly taxes taken from:

Please enter 0 for none.

Question 14
Please enter monthly work-related transportation costs, if any, for:

Please enter 0 for none.

Question 15
Enter the amount that you pay each month for child care when you are at work for your:

Please enter 0 for each child if you pay nothing.

Question 16
How many, if any, sick or disabled adults are there in your household that you must pay for to be cared for while you are at work? Please enter 0 for none.

Question 17
Enter the amount that you pay each month to have each sick adult member/s of your household cared for while you are at work:

Question 18

Spend-Down to MA Eligibility
A person who would be eligible for Medical Assistance in a given category but has too much monthly income to meet that category’s requirements, may still be eligible for that category of Medical Assistance for a select period of time if they have Medical Expenses that are due, were paid within the past 3 months, or are ongoing (examples include: a $2000 bill from 2 months ago that has not been paid, a $150 bill that was just paid last week, or monthly prescription drug costs of $275) AND these Medical Expenses, when deducted from the individual’s (or household’s) countable income, would reduce that income enough that the final amount of income is less than the income limit for that category.
Persons with large outstanding bills may qualify for several months of Medical Assistance through Spend-Down. Persons with large enough monthly Medical Expenses may qualify for Medical Assistance each month through Spend-Down. To apply for spend-down, click here. Or, you can apply at your local county assistance office. When you submit your verification, be sure to submit evidence of your Medical Expenses and indicate that if you are not found eligible for ongoing Medical Assistance you are interested in applying for “Spend-Down”.

Question 1
Do you have a severe physical or mental disability?
Yes:No:

Question 2
Is your own income less than $851/month? (Do not count your parents’ income or support payments made to one parent by the other. Do count Social Security Survivor’s benefits that are made in your name due to the death of a parent.)
Yes:No:

Question 3
Are you/applicant 19 or 20 years old?
Yes:No:

Question 4
How many people are in your household? (Include: parents (if you are still financially dependent on them and under their care and control); spouse; children; and siblings.) Make sure to count yourself, the applicant as one member of the household.

Question 5
How many kids, if any, do you have?

Question 6
What are the ages of your kids? (if less than 12 months old, please enter 0)

Question 7
If your monthly income is less than $------, it is very likely that you are eligible for free health care coverage through Medical Assistance and we encourage you to apply. Click here if you want to apply now on the computer. If your monthly household income is higher than , you might still be eligible for Medical Assistance. To find out if you are, click here.

Question 8
Enter the total monthly amount (if any) of child support or alimony that you receive each month. Please enter 0 if you receive nothing.

Question 9
Enter the amount, if any, that you and other family members in your household receive each month from:

Social Security Benefits (RSDI) (Do not include SSI):
Social Security Disability:
Retirement benefits:
Pension:
Annuities:
Unemployment Compensation:
Workers Compensation:
Veterans Affairs benefits:
Dividends, royalties or interest payments:
Contributions (payments from people other than child support or alimony):
Educational assistance (do not include government loans or grants):
Children's unearned income (such as Survivor's benefits or VA benefits):
Rental income if the rental property is managed by someone else:
Inheritance:
Prizes/awards:

Question 10
How many, if any, family members in your household including yourself have any of the following types of income:

(Do not include the income of a child who is: 1) A full time student; 2) A part-time student working part-time; 3) In the Job Corps; or 4) Not a student, but age 17 or younger and in the JTPA program.)
Income from a job:
Profit from self-employment:
Commissions or bonuses:
Sheltered workshop or work activities center income:
Employee sick benefits (if you plan to return to work):
Earnings from therapeutic activities:
Rental income (unless rental unit managed by someone else. Then count as unearned income.):

Question 11
For each person with one of those types of income, please enter his or her name next to the type of income received by that person.

Question 12
Please enter the monthly amount of money (before taxes) that:

Please enter 0 for none.

Question 13
Please enter the total monthly taxes taken from:

Please enter 0 for none.

Question 14
Please enter monthly work-related transportation costs, if any, for:

Please enter 0 for none.

Question 15
Enter the amount that you pay each month for child care when you are at work for your:

Please enter 0 for each child if you pay nothing.

Question 16
How many, if any, sick or disabled adults are there in your household that you must pay for to be cared for while you are at work? Please enter 0 for none.

Question 17
Enter the amount that you pay each month to have each sick adult member/s of your household cared for while you are at work:

Question 18

Spend-Down to MA Eligibility
A person who would be eligible for Medical Assistance in a given category but has too much monthly income to meet that category’s requirements, may still be eligible for that category of Medical Assistance for a select period of time if they have Medical Expenses that are due, were paid within the past 3 months, or are ongoing (examples include: a $2000 bill from 2 months ago that has not been paid, a $150 bill that was just paid last week, or monthly prescription drug costs of $275) AND these Medical Expenses, when deducted from the individual’s (or household’s) countable income, would reduce that income enough that the final amount of income is less than the income limit for that category.
Persons with large outstanding bills may qualify for several months of Medical Assistance through Spend-Down. Persons with large enough monthly Medical Expenses may qualify for Medical Assistance each month through Spend-Down. To apply for spend-down, click here. Or, you can apply at your local county assistance office. When you submit your verification, be sure to submit evidence of your Medical Expenses and indicate that if you are not found eligible for ongoing Medical Assistance you are interested in applying for “Spend-Down”.

Question 1
Is applicant 18 years or younger?
Yes:No:

Question 2
How many people are in your household? (Include: parents (if applicant is still financially dependent on them and under their care and control), spouse, children, and siblings.)

Question 3
How many kids, if any, do applicant or other household members have?

Question 4
What are the ages of these kids? (if less than 12 months old, please enter 0)

Question 5

If monthly household income* is less than $------, it is very likely that applicant is eligible for free or low-cost health care coverage through Medical Assistance or CHIP, and we encourage to you apply for him/her.
* Include income of the same household members that you included in determining the household number unless any of these household members are children (18 or under) who are full or part time students. Then their earned income should not be included. Also, do not include any SSI or cash benefits received by household members.

Click here if you want to apply now on the computer.

If your monthly household income is higher the amount that you see, you might still be eligible for Medical Assistance. To find out if you are, click here.

Question 6
Enter the amount, if any, that you and other family members in your household receive each month from:

Social Security Benefits (RSDI) (Do not include SSI):
Social Security Disability:
Child Support:
Alimony:
Retirement benefits:
Pension:
Annuities:
Unemployment Compensation:
Workers Compensation:
Veterans Affairs benefits:
Dividends, royalties or interest payments:
Contributions (payments from people other than child support or alimony):
Educational assistance (do not include government loans or grants):
Children's unearned income (such as Survivor's benefits or VA benefits):
Rental income if the rental property is managed by someone else:
Inheritance:
Prizes/awards:

Question 7
Enter the amount that you and other family members in your household receive each month from:

(Do not include the income of a child who is a full or part time student.)
Income from a job:
Profit from self-employment:
Commissions or bonuses:
Sheltered workshop or work activities center income:
Employee sick benefits (if you plan to return to work):
Earnings from therapeutic activities:
Rental income (unless rental unit managed by someone else. Then count as unearned income.):
Other:

Question 8
How many people in applicant’s household are working? Please enter 0 for none.

Question 9
Enter the amount that you pay each month for child care when you are at work for your:

Please enter 0 for each child if you pay nothing.

Question 10
How many, if any, sick or disabled adults are there in your household that you must pay for to be cared for while you are at work? Please enter 0 for none.

Question 11
Enter the amount that you pay each month to have each sick adult member/s of your household cared for while you are at work:

Question 12

Program Description
There is a program of coverage for women with breast or cervical cancer in PA called the Breast and Cervical Cancer Prevention and Treatment Program (BCCPT). If you meet the following requirements, you are eligible for this coverage. You: are a woman under age 65; are a PA resident; are uninsured (or at least do not have insurance that will pay for your cancer treatment); and have a household income under 250% of the federal poverty level (FPL) (see chart below)
# in Household	Monthly Income Limit at 250% FPL
1	$2,168
2	$2,918
3	$3,667
4	$4,417
5	$5,167
6	$5,917
7	$6,667
8	$7,417
If you meet all of these requirements, please click here to find out how to apply for this coverage. If you do not meet these criteria, and you want to continue with a screening for eligibility under other categories of Medical Assistance, please click here.

Question 2
In order to become eligible for the BCCPT Program, you must go to a Healthy Woman site for either a screening, diagnostic, or consultation visit. You will not be charged for this visit. At the Healthy Woman site, you will fill out the application for the BCCPT program - there is no application to be filled out at your local County Assistance Office. If you are already in treatment for breast or cervical cancer, or already have a diagnosis, it would be a good idea to bring your medical records with you to the Healthy Woman site so the doctor there can confirm your diagnosis. To find out where the closest Healthy Woman site is, call the contact person from your County that is listed below. And if you have any questions about this program, please call the PA Health Law Project at (800) 274-3258.
Healthy Woman Project Sites Contractors Providing Services
Office Name & Contact Person	Address & Phone Number	Service Area/Counties Served
Family Health Council of Central PA	Suite 200, 3461 Market St. Camp Hill, PA 17011-4441 (717)761-7380	Adams, Bedford, Blair, Cambria, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntington, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Montour, Northumberland, Perry, Snyder, Somerset, Union, York
Family Health Council, Inc.	960 Penn. Ave. Suite 600 Pittsburgh, PA 15222 (412)288-2130 1-800-215-7494	Armstrong, Beaver, Butler, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, McKean, Mercer, Venango, Warren, Washington, Westmoreland
Maternal & Family Health Services	15 Public Square Suite 600 Wilkes-Barre, PA 18702 (570)823-7057	Berks, Bradford, Carbon, Lackawanna, Lehigh, Luzerne, Monroe, Pike, Potter, Schuylkill, Sullivan, Susquehanna, Tioga, Wayne, Wyoming
Philadelphia Department of Health	Radiology Department 500 South Broad St. 2nd floor Philadelphia, PA 19146-1613 (215)685-6786	Chester, Philadelphia
Allegheny County Health Department	907 West St. Pittsburgh, PA 15221-2833 (412)247-7805	Allegheny
Bucks County Department of Health	Neshaminy Manor Center Doylestown, PA 18901 (215)345-3350	Bucks
Crozer-Keystone Health System	C/O Delaware County Memorial Hospital 501 N. Lansdowne Ave. Drexel Hill, PA 19026 (610)284-8234	Delaware
Bethlehem Bureau of Health	10 East Church Street Bethlehem, Pa. 18018 (610) 865-7087	Northampton

Question 1
Are you married and living with your spouse? (If you are separated from and no longer living with your spouse, answer "no" here and do not include his or her income information in the upcoming questions about household income.)
Yes:No:

Question 2
How many kids under 21 are there in your household who are either related to you or unrelated but under your care and control?

Question 3
What are the ages of your children who are under 21? (if less than 12 months old, please enter 0)

Question 4
Do you have less than the allowable resource limit shown below for the number in your household? (Resources are things you own. When you count your resources, do not include your home, one car or personal items, such as jewelry or clothes. Do include money, bank accounts, second cars, other real estate, stocks, etc.)
# in Household*	Resource Limit
1	$2,400
2	$3,200
3	$3,500
4	$3,800
5	$4,100
6	$4,400
7	$4,700
8	$5,000